Cardiovascular System Flashcards Preview

Phys Dis > Cardiovascular System > Flashcards

Flashcards in Cardiovascular System Deck (32):
1

Function of Cardiovascular System

Delivers O to organs and tissues, removes carbon dioxide and other by-products from body & assists reg of core body temperature

2

Heart Tissue (4 Layers)

Pericardium (outer, fibrous layer enclosing heart), Epicardium (inner layer of peri), Epicardium (heart muscle, major portion of the heart), Endocardium (smooth lining of inner surface and heart cavities)

3

Heart Chambers

R Atrium: Receives blood from systemic circulation during systole (contraction) blood is sent to right vent; R Vent: pumps blood via pulmonary artery to lungs for O; L Artium: receives O blood from lungs and 4 pulmonary veins during systole (contraction) blood sent to left vent; L Vent: pumps blood via aorta thru out entire systemic circulation. *Walls of vent are thicker/stronger than left

4

Flow of Blood

Systemic circulation from R Atrium > R Vent oxygenation > L Atrium > L Vent

5

Atriventricular & Semilunar Valves

A= prevents blood back flow into atria during vent systole - tricuspid= right heart valve/bicuspid= left heart vlalve - S= Prevents blood back flow from aorta & pulmonary arteries

6

Systole vs Diastole

S= period of vent contraction; D= period of vent relax and filling of blood

7

RCA vs LCA

R Coronary Artery: supplies R atrium, most of R vent, inf wall of L vent; Left Coronary Artery: supplies most of L vent & has 2 main divisions

8

Sinoatrial Node

Main pacemaker of heart, indicates sinus rhythm - affects both HR and strength of contraction. Where hear beat begins

9

Arteries

Transport oxygenated blood from areas of high pressure to low in body tissues.

10

Hyperkalemia

Increased K ions; increases rate/force of contraction & produces EKG changes

11

Hypokalemia

Decreased K ions; EKG changes, arrhythmias > may progress to ventricular fib

12

Hypercalcemia vs Hypocalcemia

Increased Ca concentration; increases HR vs Decreased Ca concentration; decreases HR

13

Increased vs Decreased peripheral resistance

I= increases arterial blood vL & pressure while D= decreases arterial blood vL & pressure

14

Coronary Artery Disease (CAD)

Atherosclerotic (plaque build up in arteries) disease process that narrows lumen of coronary arteries resulting in ischemia (decreased blood supply) to myocardium; Lipid-laden plaques affecting mod/large arteries - results in thickening of intimal layer

15

CAD risk factors

Age, gender, race, fam hx, smoking, high BP, hich cholesterol & low density lipoprotein (LDL), elevated homocystine, stress, DM, obesity, sedentary lifestyle

16

Angina Pectoris

Clinical manifestation of ischemia characterized by mild-mod substernal chest discomfort (most commonly pressure/dull ache in chest & L arm>but can be felt anywhere in UE). Usually lasts 20min-increased heart demands

17

Angina Types

Stable: classic, occurring during exercise/activity -relieved w rest and/or subling nitroglycerin; Unstable (preinfarction): coronary insuff at rest w/o any precipitating factor - pain diff to control, can lead to lethal arrhythmia; Variant (Prinzmetal's): vasospasm of coronary arteries w absence of occlusive disease - responds well w nitroglycerin or Ca channel blocker LT

18

Myocardial Infarction (MI)

Prolonged ischemia, injury and death of an area of myocardium caused by occlusion of one(+) coronary arteries - results in necrosis of heart tissue

19

MI Precipitating Factors and Symptoms

Atherosclerotic heart disease w thrombus formation, coronary vasospasm/embolism; coke toxicity. Severe sternal pain for20(+)min that may radiate up, dyspena, indigestion, pain unrelieved by rest/sibling nitroglycerin

20

3 Infarction Sites

Transmural (Q wave)= full thick of myocardium; Nontransmural (non-Q wave) & Coronary Artery Occlusion= Inf MI: R Vent infarct (R coronary artery); Lat MI: ventricular ectopy (circumflex artery); Ant MI: (L ant descending artery)

21

Heart Failure

Heart is unable to maintain adequate circulation of blood to meet metabolic needs of body; Decreased cardiac output, elevated end diastolic pressure, increased HR, impaired vent contractibility > variety of causes (CAD, congenital heart disease, valvular disease, HTN, infection)

22

L-side HF (CHF)

Blood not adequate pumped into systemic circulation; Characterized by pulmonary congestion, edema, low cardiac output d/t back up of LV to LA and lungs > occurs w insult to LV from myocardial disease, excessive workload of heart, arrhythmias or damage

23

R-Side HF

Blood not adequately returned from systemic circulation to heart. Characterized by increased pressure load on RV > occurs w insult to RV from LV failure, mitral valve disease, chronic lung disease

24

Biventricular Failure

Sever LV pathology producing back up into lungs, increased PA pressure, and RV signs of HF

25

LV Failure: Signs of Pulmonary Congestion

Dyspena, dry cough, orthopena, paraxysmal nocturnal dyspena (PND), pulmonary rales, wheezing

26

LV Failure: Sings of Low Cardiac Output

Lightheaded, dizzy, hypotension, tachycardia, cerebral hypoxia (confusion, restlessness, impaired mem), fatigue, poor exercise tolerance, enlarged heart, murmurs

27

RV Failure: Signs of Pulmonary Congestion

Dependent edema, weight gain, ascites (abdom swelling d/t fluid build up), liver enlargement (hepatomegaly)

28

RV Failure: Sings of Low Cardiac Output

Anorexia, nausea, bloating, cyanosis of nailbeds, R upper quadrant pain, jugular vein distension, murmurs

29

Angioplasty

Relieves obstructed blood flow in acute angina or MI> results in improved coronary blood flow, improved L vent fx and anginal relief

30

Intravascular Stents

Prevents occlusion in coronary or peripheral arteries

31

CABG

Revascularization surgery: multiple grafts may be needed> results in improved coronary blood flow & LV fx, anginal relief, surgery results in deconditioning

32

Transplantation

Used w end stage myocardial disease. Heterotopic involves leaving natural heart and piggybacking donor; Orthotopic replacement heart. (Probs: rejection, infection)